| NPI | 1497259725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP11106) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201810363NP-PP) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2022-10-28 |